Provider Demographics
NPI:1356716492
Name:GALVIN, JANETT LYNN (CPNP)
Entity type:Individual
Prefix:MS
First Name:JANETT
Middle Name:LYNN
Last Name:GALVIN
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 GREENWAY DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-6008
Mailing Address - Country:US
Mailing Address - Phone:214-801-8238
Mailing Address - Fax:972-686-6391
Practice Address - Street 1:341 WHEATFIELD DR STE 210
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-4644
Practice Address - Country:US
Practice Address - Phone:972-686-6400
Practice Address - Fax:972-686-6391
Is Sole Proprietor?:No
Enumeration Date:2015-12-01
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP109704363LP0200X
TX248363363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics